How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $144.54 | Facility | None | $109.65 | $109.65 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | None | $109.65 | $109.65 | $144.54 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $724.44 | Facility | None | $281.84 | $467.74 | $724.44 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $181.97 | Professional | None | $102.33 | $141.25 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $125.89 | Facility | None | $66.07 | $107.15 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | None | $125.89 | $147.91 | $177.83 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $1,174.90 | Facility | None | $95.50 | $190.55 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $776.25 Typical High $1,071.52 | Professional | None | $123.03 | $776.25 | $1,071.52 |
United Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $1,380.38 | Facility | None | $89.13 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $173.78 | Professional | None | $93.33 | $123.03 | $173.78 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $14.45 |
Where Oklahoma sits
The same service costs 4.0 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 26th of 51
$162
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.